All tools should be considered in fight against fraud, waste
The recent Vital Signs blog post “Should Medicare make the switch to electronic cards?” (ModernHealth care.com, April 27) offers great insights. Information technology research firm Gartner recently reported that fraud, waste and abuse in healthcare was estimated to cost $60 billion to $80 billion annually because of either a deliberate attempt to deceive the system or inefficient administrative processes and systems. So any attempt to reduce fraud and waste while improving operations should be considered.
Information technology and realtime data are changing the workplace no matter the industry or an individual’s role. IT can help payers be more proactive in detecting and preventing fraud. In the case of electronic cards for Medicare, it could also help save money, improve efficiency and provide a better customer experience.
Kelly Rakowski Senior vice president of healthcare payer services